Post-Circumcision Concerns: How to Encourage Suture Dissolution? - Urology

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Post-operative issues after circumcision?


Hello doctor, I underwent a circumcision surgery one to two weeks ago.
During my follow-up appointment, I was told that my recovery is going well and that I do not need to have the stitches removed.
However, so far, the stitches have not fallen out or softened.
Is there any other way to expedite the removal of the stitches? (Note: The stitches are black and slightly firm.)

Bin, 10~19 year old female. Ask Date: 2022/08/18

Dr. Du Shixi reply Urology


Hello: If your physical condition is insufficient, and if it has been more than 10 days, you may gently pull on the suture ends.
Some may fall off, but do not pull too hard, as this may cause bleeding.
If the sutures have not fallen off after 2 weeks, please schedule a follow-up appointment for removal.
Wishing you good health.

Reply Date: 2022/08/18

More Info


After undergoing a circumcision procedure, it's common for patients to have concerns regarding the healing process, particularly regarding the sutures used during the surgery. In your case, it seems that you are experiencing a delay in the dissolution or softening of the sutures, which can understandably cause some anxiety.

First and foremost, it's important to note that the type of sutures used in circumcision can vary. Some sutures are absorbable, meaning they are designed to dissolve over time without the need for removal, while others may be non-absorbable and require a follow-up visit for removal. The black sutures you mentioned are often non-absorbable, which means they will not dissolve on their own and will need to be removed by a healthcare professional if they do not fall out on their own after a certain period.

Here are some general recommendations to encourage suture dissolution or to manage your concerns:
1. Follow-Up with Your Surgeon: The best course of action is to consult with your surgeon or the healthcare provider who performed the circumcision. They can provide specific guidance based on the type of sutures used and your individual healing progress.

2. Keep the Area Clean: Maintaining proper hygiene is crucial for healing. Gently clean the area with mild soap and water, and avoid any harsh chemicals or scrubbing that could irritate the site.

3. Avoid Irritation: Be mindful of activities that may irritate the surgical site, such as vigorous exercise or sexual activity, until you receive clearance from your doctor.

4. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge from the site. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain. However, consult your doctor before taking any medication.

6. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your overall healing process.

7. Patience: Healing can take time, and sutures may take several weeks to dissolve or fall out, depending on the type used and your body's healing response.

If you are concerned about the sutures not softening or dissolving, it is crucial to communicate this with your healthcare provider. They may recommend a follow-up appointment to assess the site and determine if any intervention is necessary. In some cases, if the sutures are non-absorbable and are not falling out as expected, your doctor may need to remove them manually.

In summary, while it is normal to have concerns about the healing process after circumcision, the best approach is to maintain communication with your healthcare provider. They can provide personalized advice and reassurance based on your specific situation. Remember, every individual's healing process is unique, and your healthcare team is there to support you through it.

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